How to file a complaint about care →
No fines or payment denials in the published 3-year window.
Alpine Rehabilitation and Nursing Center
755 E Monroe Street, Little Falls, NY 13365 (opens Google Maps) · Herkimer County · (315) 823-0973· 80 certified beds · avg 76 residents/day · certified since Mar 1, 1977 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: PERSONAL HEALTHCARE MANAGEMENT (21 facilities, chain avg rating 2.9★)
3/5
Health inspection rating (on-site)
inspected Apr 3, 2026
0
Serious findings on record
$0
Fines, last 3 years
4.33
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 21 inspection findings. Open the full record below to read every finding.
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. F-0686
The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. F-0803
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint F-0684
View all 21 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 3, 2026 | E · Potential for more than minimal harm, pattern | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686 |
| Apr 3, 2026 | E · Potential for more than minimal harm, pattern | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · F-0803 |
| Apr 3, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684 |
| Apr 3, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| May 3, 2024 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584 |
| May 3, 2024 | E · Potential for more than minimal harm, pattern | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| May 3, 2024 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| May 3, 2024 | E · Potential for more than minimal harm, pattern | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · F-0925 |
| May 3, 2024 | D · Potential for more than minimal harm, isolated | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · F-0582 |
| May 3, 2024 | D · Potential for more than minimal harm, isolated | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint · F-0610 |
| May 3, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684 |
| May 3, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760 |
| May 3, 2024 | D · Potential for more than minimal harm, isolated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint · F-0804 |
| May 3, 2024 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Feb 28, 2022 | E · Potential for more than minimal harm, pattern | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Feb 28, 2022 | D · Potential for more than minimal harm, isolated | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · F-0554 |
| Feb 28, 2022 | D · Potential for more than minimal harm, isolated | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · F-0582 |
| Feb 28, 2022 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695 |
| Feb 28, 2022 | D · Potential for more than minimal harm, isolated | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · F-0732 |
| Feb 28, 2022 | D · Potential for more than minimal harm, isolated | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · F-0806 |
| Feb 28, 2022 | D · Potential for more than minimal harm, isolated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (10 → 4).
All citationsSerious citations (G–L)
2022
All citations: 7
Serious citations (G–L): 0
2024
All citations: 10
Serious citations (G–L): 0
2026
All citations: 4
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 7 | 0 | E |
| 2024 | 10 | 0 | E |
| 2026 | 4 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityNew York averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.33
New York average: 3.58
U.S. average: 3.95
Registered Nurse hours
This facility: 0.61
New York average: 0.68
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.14
New York average: 3.13
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | New York avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.33 | 3.58 | 3.95 | top 16% in New York; top 28% in the U.S. |
| Registered Nurse hours | 0.61 | 0.68 | 0.69 | top 44% in New York; top 47% in the U.S. |
| Weekend total nurse staffing | 3.14 | 3.13 | 3.50 | top 41% in New York; bottom 38% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.17 | 0.48 | 0.48 | bottom 6% in New York; bottom 7% in the U.S. |
| Total nursing staff turnover (%) | 52.4 | 40.3 | 45.8 | bottom 21% in New York; bottom 31% in the U.S. |
| RN turnover (%) | 33.3 | 39.8 | 42.9 | top 38% in New York; top 33% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.45, RN 0.48, weekend 2.50.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.45 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Alpine Rehabilitation and Nursing Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Barth, Alexander | Individual | 5% or Greater Direct Ownership Interest | 15% | 03/11/2008 |
| Zagelbaum, Ephraim | Individual | 5% or Greater Direct Ownership Interest | 49% | 03/11/2008 |
| Zagelbaum, Yechiel | Individual | 5% or Greater Direct Ownership Interest | 21% | 03/11/2008 |
| Amidon, Jeffrey | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2020 |
| Amidon, Jeffrey | Individual | ADP of the SNF | NOT APPLICABLE | 03/21/2025 |
| Barth, Alexander | Individual | Corporate Officer | NOT APPLICABLE | 03/11/2008 |
| Barth, Alexander | Individual | ADP of the SNF | NOT APPLICABLE | 03/11/2008 |
| Macri, Deandra | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/17/2015 |
| Macri, Deandra | Individual | ADP of the SNF | NOT APPLICABLE | 06/17/2015 |
| Ostrovitsky, Israel | Individual | ADP of the SNF | NOT APPLICABLE | 03/11/2008 |
| Zagelbaum, Ephraim | Individual | Corporate Director | NOT APPLICABLE | 03/11/2008 |
All 11 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Personal Healthcare Management — 21 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Auburn Rehabilitation & Nursing Center — Auburn, NY · overall 2/5
- Delhi Rehabilitation and Nursing Center — Delhi, NY · overall 2/5
- Dunkirk Rehabilitation & Nursing Center — Dunkirk, NY · overall 5/5
- Eden Rehabilitation Nursing Center — Eden, NY · overall 5/5
- Ghent Rehabilitation & Nursing Center — Ghent, NY · overall 2/5
- Gowanda Rehabilitation and Nursing Center — Gowanda, NY · overall 3/5
- Highland Rehabilitation and Nursing Center — Middletown, NY · overall 1/5
- Houghton Rehabilitation & Nursing Center — Houghton, NY · overall 2/5
Listed by state, then facility name — not a ranking. Showing 8 of the 20 others, continuing from this facility's own place in that list.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How is pest control handled here, and when was the last treatment or inspection?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 52% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Foltsbrook Center for Nursing and Rehabilitation | 6.9 mi | Herkimer, NY | ★☆☆☆☆ | 2/5 | |
| Valley Health Services INC | 7.6 mi | Herkimer, NY | ★★☆☆☆ | 2/5 | |
| St Johnsville Rehabilitation and Nursing Center | 9.2 mi | Saint Johnsville, NY | ★★☆☆☆ | 2/5 | |
| The Grand Rehabilitation and Nursing at Mohawk | 10.1 mi | Ilion, NY | ★☆☆☆☆ | 1/5 | |
| Masonic Care Community of New York | 17.0 mi | Utica, NY | ★☆☆☆☆ | 1/5 | |
| Palatine Nursing Home | 17.0 mi | Palatine Bridge, NY | ★☆☆☆☆ | 2/5 | |
| Charles T Sitrin Health Care Center INC | 19.0 mi | New Hartford, NY | ★★☆☆☆ | 1/5 | |
| Oneida Center for Rehabilitation and Nursing | 19.9 mi | Utica, NY | ★☆☆☆☆ | 3/5 |
Facility data as of CMS processing date 2026-08-01. CCN 335586.
This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).